Miami Dade College NUR 1211
RN Pediatric Nursing Online Practice 2023 B
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A nurse is preparing to administer an immunization to a 4- C. Administer the immunization using a 24-gauge needle.
year-old child. Which of the following actions should the
nurse plan to take? Rationale: The nurse should administer an immunization for a 4-year-old child
using a 22 to 25-gauge needle to minimize the amount of pain the child
A. Place the child in a prone position for the experiences.
immunization.
B. Request that the child's caregiver leave the room
during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3
seconds.
A nurse is caring for a school-age child who has A. Place the child in a side-lying position.
experienced a tonic-clonic seizure. Which of the
following actions should the nurse take during the Rationale: The nurse should place the child in a side-lying position to prevent
immediate postictal period? aspiration.
A. Place the child in a side-lying position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
D. Administer an oral sedative to the child.
,NGN* A nurse on a pediatric unit is admitting a 1. Splenomegaly
preschooler. After reviewing the information in the
medical record the nurse should identify that the child is Rationale: The child's positive mononucleosis rapid test result indicates the
at risk for developing which of the following conditions? presence of infectious mono, a condition caused by the Epstein-Barr virus.
Therefore, the nurse should identify that the child is at risk for developing
Dropdown 1: splenomegaly, a common complication of infectious mono.
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN) 2. Positive mono rapid test
Dysrhythmias
Rationale: The child's positive mononucleosis rapid test result indicates the
Dropdown 2: presence of infectious mono, a condition caused by the Epstein-Barr virus.
Positive mononucleosis rapid test Therefore, the nurse should identify that the child is at risk for developing
Urinary output splenomegaly, a common complication of infectious mono.
Cardiovascular assessment
A nurse is assessing an infant who has a ventricular septal A. Loud, harsh murmur
defect. Which of the following findings should the nurse
expect? Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricular
septal defect due to the left-to-right shunting of blood, which contributes to
A. Loud, harsh murmur hypertrophy of the infant's heart muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
A nurse is providing discharge teaching the guardians of B. Restricted ability to move the toes.
a toddler with a lower leg cast applied 24 hours ago. The
nurse should instruct the guardians to report which of the Rationale: The nurse should inform the guardians that the restricted ability of the
following findings to the provider? toddler to move their toes is an indication of neuromuscular compromise and
requires immediate notification to the provider. Permanent muscle and tissue
A. Capillary refill time < 2 seconds. damage can occur in just a few hours.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is dependent.
D. Pedal pulse +3 bilateral.
, A nurse is planning an educational program to teach B. "Choose a waterproof sunscreen with a minimum SPF of 15."
caregivers about protecting their children from sunburns.
Which of the following instructions should the nurse plan Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen
to include? with a minimum SPF of 15 for children. The parent should apply sunscreen prior to
sun exposure to reduce the risk of sunburn.
A. "Allow your child to play outside during the hours
between 10:00 am and 2:00 pm."
B. "Choose a waterproof sunscreen with a minimum SPF
of 15."
C. "Dress your child in loose weave polyester fabric prior
to sun exposure."
D. "Reapply sunscreen every 4 hours."
A nurse is assessing a school-age child who has B. Abdominal distention
peritonitis. Which of the following findings should the
nurse expect? Rationale: The nurse should identify that abdominal distention is an expected
finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal
A. Hyperactive bowel sounds wall. This inflammation in the abdomen, along with the ileus that develops, causes
abdominal distention. Other manifestations include chills, irritability, and
B. Abdominal distention restlessness.
C. Bradycardia
D. Bloody stool
A nurse is assessing a school-age child who has an C. Difficulty concentrating
infratentorial brain tumor. Which of the following findings
should the nurse identify as a manifestation of increased Rationale: The nurse should identify that irritability, inability to follow commands,
intracranial pressure? and difficulty concentrating are manifestations of increased intracranial pressure
due to decreased blood flow within the brain and pressure on the brainstem.
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
A nurse in an emergency department is performing a D. Substernal retractions
physical assessment on a 2-week-old male newborn.
Which of the following findings is the priority for the Rationale: When using the airway, breathing, and circulation approach to client
nurse to report to the provider? care, the nurse should determine that the priority finding to report to the provider
is substernal retractions. This finding indicates the newborn is experiencing
A. Excoriated scrotal area increased respiratory effort, which could quickly progress to respiratory failure.
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions
RN Pediatric Nursing Online Practice 2023 B
109 studiers today 5.0 (11 reviews)
Students also studied
Flashcard sets Study guides
RN Pediatric Nursing Online Practic... Maternal Newborn Online Practice ... Learning System RN 3.0 Nursing Car... RN Imm
60 terms 60 terms 50 terms 22 terms
tgran14 Preview gaycriminal Preview marj_reyes2 Preview neo
Terms in this set (60) Hide definitions
A nurse is preparing to administer an immunization to a 4- C. Administer the immunization using a 24-gauge needle.
year-old child. Which of the following actions should the
nurse plan to take? Rationale: The nurse should administer an immunization for a 4-year-old child
using a 22 to 25-gauge needle to minimize the amount of pain the child
A. Place the child in a prone position for the experiences.
immunization.
B. Request that the child's caregiver leave the room
during the immunization.
C. Administer the immunization using a 24-gauge needle.
D. Inject the immunization slowly after aspirating for 3
seconds.
A nurse is caring for a school-age child who has A. Place the child in a side-lying position.
experienced a tonic-clonic seizure. Which of the
following actions should the nurse take during the Rationale: The nurse should place the child in a side-lying position to prevent
immediate postictal period? aspiration.
A. Place the child in a side-lying position.
B. Delay documentation until the child is fully alert.
C. Give the child a high-carbohydrate snack.
D. Administer an oral sedative to the child.
,NGN* A nurse on a pediatric unit is admitting a 1. Splenomegaly
preschooler. After reviewing the information in the
medical record the nurse should identify that the child is Rationale: The child's positive mononucleosis rapid test result indicates the
at risk for developing which of the following conditions? presence of infectious mono, a condition caused by the Epstein-Barr virus.
Therefore, the nurse should identify that the child is at risk for developing
Dropdown 1: splenomegaly, a common complication of infectious mono.
Splenomegaly
Acute post-streptococcal glomerulonephritis (APSGN) 2. Positive mono rapid test
Dysrhythmias
Rationale: The child's positive mononucleosis rapid test result indicates the
Dropdown 2: presence of infectious mono, a condition caused by the Epstein-Barr virus.
Positive mononucleosis rapid test Therefore, the nurse should identify that the child is at risk for developing
Urinary output splenomegaly, a common complication of infectious mono.
Cardiovascular assessment
A nurse is assessing an infant who has a ventricular septal A. Loud, harsh murmur
defect. Which of the following findings should the nurse
expect? Rationale: The nurse should expect to hear a loud, harsh murmur with a ventricular
septal defect due to the left-to-right shunting of blood, which contributes to
A. Loud, harsh murmur hypertrophy of the infant's heart muscle.
B. Dysrhythmias
C. Weak femoral pulses
D. High blood pressure
A nurse is providing discharge teaching the guardians of B. Restricted ability to move the toes.
a toddler with a lower leg cast applied 24 hours ago. The
nurse should instruct the guardians to report which of the Rationale: The nurse should inform the guardians that the restricted ability of the
following findings to the provider? toddler to move their toes is an indication of neuromuscular compromise and
requires immediate notification to the provider. Permanent muscle and tissue
A. Capillary refill time < 2 seconds. damage can occur in just a few hours.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is dependent.
D. Pedal pulse +3 bilateral.
, A nurse is planning an educational program to teach B. "Choose a waterproof sunscreen with a minimum SPF of 15."
caregivers about protecting their children from sunburns.
Which of the following instructions should the nurse plan Rationale: The nurse should instruct caregivers to apply a waterproof sunscreen
to include? with a minimum SPF of 15 for children. The parent should apply sunscreen prior to
sun exposure to reduce the risk of sunburn.
A. "Allow your child to play outside during the hours
between 10:00 am and 2:00 pm."
B. "Choose a waterproof sunscreen with a minimum SPF
of 15."
C. "Dress your child in loose weave polyester fabric prior
to sun exposure."
D. "Reapply sunscreen every 4 hours."
A nurse is assessing a school-age child who has B. Abdominal distention
peritonitis. Which of the following findings should the
nurse expect? Rationale: The nurse should identify that abdominal distention is an expected
finding of peritonitis. Peritonitis is an inflammation of the lining of the abdominal
A. Hyperactive bowel sounds wall. This inflammation in the abdomen, along with the ileus that develops, causes
abdominal distention. Other manifestations include chills, irritability, and
B. Abdominal distention restlessness.
C. Bradycardia
D. Bloody stool
A nurse is assessing a school-age child who has an C. Difficulty concentrating
infratentorial brain tumor. Which of the following findings
should the nurse identify as a manifestation of increased Rationale: The nurse should identify that irritability, inability to follow commands,
intracranial pressure? and difficulty concentrating are manifestations of increased intracranial pressure
due to decreased blood flow within the brain and pressure on the brainstem.
A. Hypotension
B. Reports insomnia
C. Difficulty concentrating
D. Tachycardia
A nurse in an emergency department is performing a D. Substernal retractions
physical assessment on a 2-week-old male newborn.
Which of the following findings is the priority for the Rationale: When using the airway, breathing, and circulation approach to client
nurse to report to the provider? care, the nurse should determine that the priority finding to report to the provider
is substernal retractions. This finding indicates the newborn is experiencing
A. Excoriated scrotal area increased respiratory effort, which could quickly progress to respiratory failure.
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions